Individual
ANITA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO,ABOC,NCLEC
Contact information
Practice address
641 VETERANS PKWY S, MOULTRIE, GA 31788-8843
(229) 890-7416
Mailing address
1821 OVERLOOK DR, MOULTRIE, GA 31768-7621
(229) 891-1255
(229) 985-3193
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002678
GA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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